Mccullough, Diamonique
Mccullough, Diamonique is an sole proprietor health care provider with primary practice located at 420 S San Pedro St Ste G4 , Los Angeles CA 90013-1938. She recently has only one registered license in Behavioral Health & Social Service Providers / School, which is considered as her primary health care specialty. Mccullough, Diamonique can be contacted via phone (213) 620-5712.Contact Information
Primary practice address
420 S San Pedro St Ste G4
Los Angeles CA 90013-1938
Phone: (213) 620-5712
Fax: (213) 621-4155
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / School | 1041S0200X |
Profile Details
| NPI number | 1932415502 |
|---|---|
| LBN Legal business name | Mccullough, Diamonique |
| Credentials | MSW |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 20th, 2010 |
| Last updated | Aug 20th, 2010 - about 14 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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